施氏伤科整骨手法治疗腰椎间盘突出症多中心随机对照研究

A Multicenter Randomized Controlled Study of Master Shi′s Traumatology in the Treatment of Lumbar Disc Herniation

目的:观察施氏伤科整骨手法治疗腰椎间盘突出症的临床疗效。方法:选取2018年3月至2019年6月就诊于上海市第十人民医院崇明分院骨伤科、上海市黄浦区香山中医医院骨伤科、上海市中医医院骨伤科的腰椎间盘突出症患者220例,按照随机数字表法分为研究组和对照组,每组各110例,未发生脱落病例。研究组给予施氏伤科整骨手法治疗,对照组给予中药熏蒸、牵引治疗。结果:研究组治疗后疼痛视觉模拟评分低于对照组,差异有统计学意义;研究组治疗后腰部活动度、直腿抬高角度、JOA评分高于对照组,差异有统计学意义;研究组有效率99.1%,对照组有效率93.6%,研究组有效率高于对照组,差异有统计学意义(P<0.05)。结论:施氏伤科整骨手法治疗腰椎间盘突出症,能有效缓解患者症状及体征,提高患者生活质量。

Objective:To observe the clinical curative effect of bone-setting manipulation of Master Shi′s traumatology on lumbar disc herniation(LDH).Methods:A total of 220 patients with LDH treated in Department of Traumatology of Chongming Branch of Shanghai Tenth People′s Hospital,Department of Traumatology of Xiangshan Hospital of TCM of Huangpu District of Shanghai,and Department of Traumatology of Shanghai Hospital of TCM from March 2018 to June 2019 were selected as the research subjects,and divided into the study group and control group according to the random number table method,with 110 cases in each group.No shedding cases occurred.The study group was treated with bone-setting manipulation of Master Shi′s traumatology,while the control group was treated with TCM fumigation and traction.Results:After the treatment,the visual analogue score of the study group was lower than that of the control group,and the difference was statistically significant.After the treatment,lumbar range of motion,straight leg elevation angle and JOA score of the study group were higher than those of the control group,and all the differences were statistically significant.The effective rate of the study group was 99.1%,while that of the control group was 93.6%,the effective rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:In terms of LDH,bone-setting manipulation of Master Shi′s traumatology can effectively relieve the symptoms and signs of patients and improve their quality of life.